What is postpartum depression?

Postpartum depression is a form of depression that occurs during pregnancy or in the weeks to months after childbirth. It is more than the “baby blues,” which are briefer and milder mood changes. Postpartum depression is more intense, longer-lasting, and can significantly interfere with daily functioning. Symptoms may include persistent sadness, anxiety, irritability, changes in sleep or appetite, difficulty bonding with your baby, and feelings of guilt or hopelessness. It is common, treatable, and not a sign of personal weakness or failure. With appropriate support, therapy, and sometimes medication, most people recover fully.

What is postpartum anxiety?

Postpartum anxiety is a condition that can develop during pregnancy or in the months after childbirth, marked by excessive worry, fear, or a constant sense that something is wrong. While some level of concern is normal for new parents, postpartum anxiety is more intense, persistent, and difficult to control. Symptoms may include racing thoughts, restlessness, irritability, trouble sleeping (even when the baby sleeps), physical tension, and repetitive “what if” fears about the baby’s health or safety. It is common and highly treatable, often improving with therapy, practical support, and sometimes medication. With the right care, most people experience significant relief and feel more like themselves again.

Can men suffer from postpartum depression or anxiety?

Yes, men can experience postpartum depression and postpartum anxiety. While these conditions are most commonly discussed in mothers, fathers and non-birthing partners can also develop significant mood or anxiety symptoms during pregnancy or in the first year after a child is born.

In men, symptoms may look slightly different and can include irritability, anger, withdrawal from family, increased work hours, substance use, sleep problems, persistent worry about the baby or finances, and feelings of inadequacy or hopelessness. Hormonal changes, sleep deprivation, relationship stress, financial pressure, and concern for a partner’s well-being can all contribute.

Postpartum depression and anxiety in men are common and treatable. Therapy, social support, and sometimes medication can be very effective, and seeking help early can benefit both the parent and the entire family.

How is postpartum depression treated?

Postpartum depression and anxiety are treated using many of the same evidence-based approaches as other mood and anxiety disorders, with special attention to the postpartum period and breastfeeding when relevant.

Therapy is often first-line treatment. Modalities such as cognitive behavioral therapy (CBT) and interpersonal therapy (IPT) can help reduce negative thought patterns, improve coping skills, and address relationship or role transitions that commonly arise after childbirth.

Medication may be recommended when symptoms are moderate to severe or not improving with therapy alone. Antidepressants—most commonly SSRIs—are frequently used and are generally considered safe in the postpartum period, including during breastfeeding, with individualized risk–benefit discussion.

Dr. Scary is comfortable and experienced in prescribing Zurzuvae, the first oral medication approved specifically for the treatment of postpartum depression in women. This medication is faster-acting than SSRIs, and is only given for a course of 14 days.

Practical supports are also essential. Improving sleep when possible, increasing partner or family support, connecting with other parents, and reducing unrealistic expectations can make a meaningful difference.

With appropriate treatment, most people experience significant improvement, and early intervention tends to lead to better outcomes for both parent and baby. Don’t wait - schedule your appointment today, whether you have already given birth or are currently expecting.